The department of health, having analyzed the unmet need for isolation space, intends to revitalize Victoria hospital to meet this need with minimum input. The proposal included use of available laws of procurement to identify an entity that will use the existing facilities, upgrade any as needed, staff the facility and operate it on a revenue sharing agreement. At the end of the agreement, the infrastructure reverts to the county government. This approach will be least disruptive to the public health system and offers minimal investment by the government while allowing the government to gain revenue.
COVID-19 is on the increase with concomitant economic and financial distress to the population. Whereas everyone is at risk, the most at risk are the working middle class population who have to engage in close contact with customers/clients to earn a living. These include but not limited to professionals: teachers, nurses, doctors and business people. These are the middle class of whom majority are health insured through mandatory work-place insurance scheme or privately contracted health insurance schemes.
Victoria Sub County Hospital has been operating as an annex of Jaramogi Oginga Odinga Teaching and Referral Hospital whereupon privately paying patients are admitted and managed at subsidized fees. This has failed all over the country largely due to proliferation of private hospitals in the region and policies that bar part time private practice by clinicians in government owned facilities. This has made Victoria Sub County Hospital to slowly but surely regress to disrepair, disuse and desuetude.
In the current scenario, private hospitals have run out of space to isolate patients as they await COVID-19 results. In most cases they have one or two rooms dedicated for COVID-19 patients with the remainder of the rooms for other patients. Also, private hospitals are scared and panicked not to mix COVID-19 (or suspected COVID-19) patients with their regular non-COVID-19 patients in their outpatient and inpatient departments for fear of exposure litigation and indemnity therefrom.
Scope of The Problem Will Include:
- 100% occupancy of private isolation facilities
- Large number of middle class unable to afford high fees charged in most hospitals
- Public servants increasingly agitated over inadequate isolation space for confirmed cases
- Many referrals to neighboring counties esp. to Bungoma due to lack of admission space
- Number of cases set to increase in the second wave
- High mortality for preadmission cases due to missing admission spots
REQUEST FOR EXPRESSION OF INTEREST
This involves contracting a healthcare company to staff and operate the facility with maximum acceptable charges set, whilst sharing collected revenue. Options include: charging a percentage of collections, charging a percentage of profit, charging rent.
All the Procurement rules regarding this Agreement shall be put in place so as to safeguard all the parties from any losses.
The Contracting parties i.e. the County Government of Kisumu and the winning company or group shall be bound by a set of rules, limits, and responsibilities that govern This agreement.
The County Government of Kisumu shall:
- Appropriate all that space that is delineated and delimited as Victoria Sub County Hospital for the purposes of COVID-19 Treatment to a winning Private hospital within the stipulated time and cost framework
- Retain the ownership of all that space delineated and delimited as Victoria Sub County Hospital
- Collect a percentage of revenue incidental to the operations of the winning company
- Not incur any other cost incidental to the operations by the winning company
The Winning Company or group shall:
- Appropriate all that space delineated and delimited as Victoria Sub County Hospital for all COVID-19 Treatment and other operations
- Pay County Government of Kisumu a sum agreed upon in the contract from any other corporate clients
- Abide by the laws, regulations and stipulations in the Agreement.
The Consortium should provide:
- A 1-page cover letter for EOI signed by the head of the lead organization in the consortium;
- Company/organizational profile of the lead applicant describing experience in offering the services outlined in this request for EOI.
- CVs of the key personnel in the team proposed to manage the assignment;
- Copies of registration certificates, PIN and VAT (where applicable);
- Attach copy of Certificate of Incorporation or Business Registration;
- Evidence of Tax Compliance – PIN/VAT and current/valid KRA Tax Compliance Certificates;
- Attach copies of certified audited accounts by a reputable firm for the last two years.
Submission of Expression of Interest
Interested and eligible firms may obtain additional information from the office of the Chief Officer Health and Sanitation, County Government of Kisumu P O Box 2738 Kisumu. Completed Expression of Interest in plain envelopes clearly marked “Ref: CGK/H&S/EOI/COVID-19/2020-2021/001” should be addressed to:
THE FUNDS SECRETARY
COVID-19 EMERGENCY RESPONSE SECRETARIAT,
THE COUNTY GOVERNMENT OF KISUMU
P.O BOX 2738 – 40100
These should reach the Funds Secretary – Covid-19 Emergency Response Secretariat, Kisumu County, 9th-floor Prosperity house on or before 02: 00 pm on 18th December 2020. EOI will be opened on the same day at the Health Department Offices Boardroom, Kisumu (Prosperity House), and the firms or their representatives will be free to attend the opening. Request for Proposal documents will thereafter be sent to the successful firms with specific Lease Conditions.